lecture 36 - outbreaks Flashcards

1
Q

what is the one health approach

A

the interaction and intersection of humans and animals both domestic and wild and the environment including climate change

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2
Q

what is included in the epidemiological triangle

A
  • what (agent)
  • who (person/population)
  • where (place)
  • when (time)
  • why/how (causes, risk factors and modes of transmission)
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3
Q

what are examples of infectious agents

A

bacteria, viruses, fungi, protozoa

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4
Q

what is infection

A

entry of a microbiological agent into a higher order host and its manipulation within the host

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5
Q

what is infestation

A

external surface only (e,g lice and scabies)

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6
Q

what is infectivity

A

ability of an organism to invade and multiply in a host (secondary attack)

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7
Q

what is pathogenicity

A

ability of an organism to produce clinical symptoms and illness (proportion of those exposed who get ill)

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8
Q

what is virulence

A

ability of an organism to produce serious disease (case-fatality rate)

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9
Q

what is direct transmission

A

touching or inhaling infectious secretions (salvia, respiratory droplets, urine, feces, other bodily fluids)

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10
Q

what is indirect transmission and the two types

A

always involves a vehicle

  • inanimate = food or water, soil, fomites (bedding, clothing, utensils)
  • live = vector (mosquitos, ticks)
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11
Q

what is airborne transmission

A
  • droplet nuclei, small particles
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12
Q

what is an outbreak / epidemic

A

unexpected increase in the incidence of a disease
- occurrence of cases in excess of those expected

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13
Q

what is an endemic

A

constant presence of a disease or infectious agent within a geographical area or population group

  • e.g malaria endemic to parts of africa
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14
Q

what is holoendemic

A

intense disease all year round
- children mainly infected, most adults immune

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15
Q

what is hyperendemic

A

intense disease with time periods of no transmission e,g during the dry season

  • persistant disease with all ages infected
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16
Q

what is a pandemic

A

disease affects a large number of people and crosses many boundaries

17
Q

what are clusters

A

aggregation of relatively uncommon events or diseases in space and / or in time that are thought to be greater than could be expected by chance

18
Q

what are the steps of outbreak investigation

A
  • preparation
  • surveillance
  • confirmation
  • outbreak description
  • outbreak investigation
    -outbreak control
  • outbreak communication
  • outbreak documentation
19
Q

three types of outbreaks

A

common source

propagated source
- household / institutional

mixed
- e.g point source then propogated person to person